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ECG Measurement System

. Contents
1. Introduction to ECG measurement system 2. ECG Signal 3.ECG circuits 3.1 Instrumentation Amplifier 3.2 Opto-Coupler 3.3 Bandpass Filter 4.Measured ECG signal 5. Reference

1. Introduction to ECG measurement system The ECG system is shown on Figure 1. The ECG system comprises four stages, each stage is as following: (1) The first stage is a transducerAgCl electrode, which convert ECG into electrical voltage. The voltage is in the range of 1 mV ~ 5 mV. (2) The second stage is an instrumentation amplifier (Analog Device, AD624), which has a very high CMRR (90dB) and high gain (1000), with power supply +9V and -9V. (3) We use an opto-coupler (NEC PS2506) to isolate the In-Amp and output. (4) After the opto-coupler is a bandpass filter of 0.04 Hz to 150 Hz filter. Its implemented by cascading a low-pass filter and a high pass filter.

Figure 1 Function blocks of the ECG system Return to outline

2. ECG Signal The basic structure of the heart is shown on Figure 2. Measuring at different region of the heart will retrieve different biopotential. And, so that it will generate different ECG waveforms. The ECG generated by each cardiac cycle is summarized on Table 1.

Figure 2 Basic structure of the heart. RA is the right atrium, RV is the right ventricle; LA is the left atrium, and LV is the left ventricle.

Event Atrial diastole Ventricular diastole Atrial systole Ventricular diastole Atrial diastole Ventricular systole

Characteristics AV valves opened. Semilunar valves close. Ventricular filling. AV valves open. Semilunar valves closed. Ventricular filling. AV valves closed. Semilunar valves open. Blood pumped into aorta and pulmonary artery.

Duration at 75 bpm (0.8 second cycle)

0.4 seconds

0.1 seconds

0.3 seconds

Table 1 Duration and characteristics of each major event in the cardiac cycle.

The ECG is converted into electrical voltage by electrodes. A typical surface electrode used for ECG recording is made of Ag/AgCl, as shown on Figure 3. The disposable electrodes are attached to the patients skin and can be easily removed.

Figure 3 A disposable surface electrode. The cardiac mechanism of ECG is shown on Figure 4. In the top figure, the electrocardiogram (ECG) initiates the cardiac cycle. The cardiac sounds are also shown. The bottom figure shows that ejection occurs when the pressure in the left ventricle exceeds that in the arteries. Once the electrodes convert the ECG into electrical voltage, these voltage can be fed into an instrumentation amplifier, and then be processed.

Figure 4 The ECG cardiac cycle. We measure the ECG by connecting two electrodes on the right and left chest respectively, as shown on Figure 5. The body should be connected to ground of the circuits, so that we connect the leg to the ground. If the body is not grounded, no signal would be obtained.

Figure 5 Simplified ECG recording system Return to outline

3. Circuits of the ECG system The ECG circuit diagram is shown on Figure 6.

Figure 6 The ECG circuit diagram

3.1 Instrumentation Amplifier We choose Analog Device AD624 instrumentation amplifier to amplify the ECG voltage from electrodes, which is in the range of several mV. The AD624 is set up with gain of 1000, and is supplied by +9 V and -9V battery power. Some important features of the AD624 are listed on Table 2. Supply Voltage +-9V Battery power

Programmable Gain CMRR Gain Bandwidth Product Input offset

1, 100, 200, 500, 1000, 2500 130dB (Gain=500 to 1000) 25 MHz 25 V, max

Table 2 Important features of AD624 Instrumentation Amplifier A very high CMRR is very essential for Instrumentation Amplifier. The small ac signal voltage (less than 5 mV) detected by the sensor on the electrodes will be accompanied by a large ac common-mode component (up to 1.5 V) and a large variable dc component (300 mV). The common-mode rejection specified by the AAMI (Association for the Advancement of Medical Instrumentation) is 89 dB minimum for standard ECG and 60 dB minimum for ambulatory recorders. The CMRR of AD624 with gain of 1000 is shown on Figure 7. The equation of the CMRR: CMRR = differential gain / common mode gain = Adm/Acm

Figure 7 Measured CMRR data of AD624 In-Amp A 741-Opamp is connected to the reference node (node 6) of AD624 to offset the output DC voltage to 3V (on page 10, AD624 data sheet [2]). The 741 is connected as a source follower. The output DC voltage of the AD624 is adjusted to 3V, which is an optimal value after many try and errors. The data sheet of ST 741 Op Amp is on [3].

3.2 Opto-Coupler After the In-Amp, a NEC PS2506 opto-coupler is cascaded to isolate the In-Amp from the rest of circuits, as shown on Figure 6. The datasheet of the NEC PS2506 is on [4].

3.3 Bandpass filter In general, components of the signal of interest will reside in the 0.67 to 40-Hz bandwidth for standard ECGs and up to 300 Hz to 1 kHz for pacemaker detection. We take the suggestion by the book of John Webster [1] to have the bandpass filter the frequency range of 0.04 Hz ~ 150 Hz. The filter is implemented by cascading a low-pass filter and a high-pass filter. The data of low-pass and high-pass filter are implemented by simple RC components, as shown on Table 3. The measured transfer function of the bandpass filter is on Figure 8.

R Low-Pass Filter High-Pass Filter 4 M 10 K

C 1 F 0.1 F

Time Constant 4.0 sec 0.001 sec

3dB Frequency 0.04 Hz 159 Hz

Table 3 Filter data

Figurer 8 The measured transfer function of the bandpass filter Return to outline

4. Measured ECG signals The ECG circuit is shown on Figure 9. We use the Agilent 54624 Oscilloscope to probe the ECG signal. The three measured ECG signals, on Figure 10, are respectively from the Instrumentation Amp, opto-coupler, and filter. The circuits function very well so that the three signals are almost identical to each other. Measuring different region of the heart will obtain different ECG signals. The ECG signal shown on Figure 9 is one of the standard ECG signals.

Figure 9 The ECG circuits

Figure 10 The ECG signals. The three signals are respectively probed from (1)In-Amp (2) Opto-Coupler (3) Filter. Return to outline 5. Reference [1] Webster, John G., Medical Instrumentation: Application and Design. 3rd Ed. Philadelphia: W.B. Saunders Company, 1998. [2] AD624 dada sheet, Analog Device [3] ST 741 Op Amp Data Sheet, ST Microelectronics. [4] NEC PS2506 data sheet [5]Shawn Charson ,"Home is where the ECG is" ,Amatenur Scientist [6]Sima's ECG project page [7]Let's build an ECG amplifier [8]Source of Biopotentials and Biopotential Amplifier

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